Organization
YOUTH EMERGENCY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERILYN ENGLAND (EXCUTIVE DIRECTOR)
(307) 686-0669
Entity
Organization
Contact information
Practice address
706 LONGMONT ST, GILLETTE, WY 82716-2927
(307) 686-0669
(307) 686-2121
Mailing address
706 LONGMONT ST, GILLETTE, WY 82716-2927
(307) 682-8218
(307) 686-2121
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118867400
—
WY
Enumeration date
04/10/2007
Last updated
11/11/2008
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